Korea is becoming an aged society. Accordingly, it is very meaningful to investigate the impact of job retention on quality of life (QOL) for older adults. We aimed to understand the pattern of changes over time in QOL of older adults aged 65 years or older based on employment status using the national data, the Korean Longitudinal Study of Aging (KLoSA). Data from the KLoSA during 2008–2014 were used. QOL was measured with the question, “How is your overall quality of life when compared to that of your peers in the same age group?” A total of 526 older adults were selected from 2008, including 267 who retained their jobs without change (job retention group) and 259 who lost their jobs by 2014 (job loss group). In order to analyze the factors affecting the QOL between 2008 and 2014, linear mixed models were used. The average age of participants was 70 years. In men, the QOL was significantly higher in the job retention group than the job loss group (β = 7.751, p < .001). According to time, the QOL in 2012 (β = − 3.805, p = .003) and 2014 (β = − 4.254, p < .001) was significantly lower than that in 2008. In addition, the groups of retention or loss of job showed a significant difference in the change in QOL over time; the QOL was significantly lower in 2010 (β = − 3.570, p = .027) and 2014 (β = − 5.604, p = .003). This study found that employment is an important factor affecting the QOL. In order to improve the QOL of the older adults, tailored programs are needed to understand the characteristics of the elderly and to create suitable jobs for them.

Background: While nursing homes increase, the number of registered nurses (RNs) working there continues to decline. This study explored the effects of resilience, burnout, and work-related physical distress on the work-life balance of RNs to improve retention rates. Methods: This cross-sectional study involved 155 RNs working in 37 nursing homes, spread across 10 South Korean cities. Data were collected from May to July 2019 using self-report questionnaires, with items relating to general and work-related characteristics, work-life balance, resilience, and burnout. Multiple regression analysis was performed to identify factors affecting participants’ work-life balance, including variables that showed significant results in univariate analysis. All analyses were performed using the PASW SPSS win 26.0 program. Results: Participants’ average age was 48.48 years, and they had been working as RNs for 17.36 years on average. Work-related physical pain was reported by 70.3% of participants. Resilience had a positive correlation with work-life balance (r = 0.38; P < .001), whereas burnout had a negative correlation with work-life balance (r = −0.45; P < .001). Work-related physical pain (β = −0.27; 95% confidence interval [CI], −25.89 to −7.48), resilience (β = 0.20; 95% CI, 0.02–0.70), and burnout (β = −0.33; 95% CI, −0.9 to −0.24) affected participants’ work-life balance. Conclusion: Interventions to facilitate work-life balance among nursing home RNs must aim to increase resilience and reduce burnout and work-related physical pain. A healthy work-life balance should improve RN retention in nursing homes, boosting the safety and quality of life of residents in turn.

Purpose: The purpose of this study was to define the meaning of a good death mentioned in Korean culture. Methods: This study was carried out using Rodgers' evolutionary concept analysis strategy. A review of the literature was done with key words related to good death and other relevant words in literature published in English or Korean. The literature search was conducted from 1995 to 2016 for overseas and from 2000 to 2016 for domestic. The final selection target was 44 pieces. Each document was divided into 7 disciplines, including 25 domestic documents. Results: Three dimensions and seven attributes were identified; 1) The preparation stage for death: living well, preparation for dying, 2) The final stage of death: avoiding meaningless extension of life, dignity, comfort and interaction with healthcare providers, 3) The post death stage: positive feeling of families. Antecedent to good death were dying persons, families and healthcare providers' wishes for good death, The consequences were their experience during the period of dying and feeling after dying. Conclusion: There was a change in the concept of good death according to the times. It is important for nurses to understand the concept of good death in order to provide care with good quality to patients who are faced with death, their families and healthcare providers.

Aim: To identify the factors associated with retention intention among Registered Nurses in South Korean nursing homes.Background: Although nurses are not mandatory personnel, Korean nursing homes employ Registered Nurses.Introduction: Determining the factors related to Registered Nurses’ retention intention is important for their job stability and ensure provision of quality care.Methods: This mixed‐methods study employed a sequential explanatory design. A self‐reported questionnaire survey was conducted between May 1 and July 3, 2019, with 155 Registered Nurses providing direct care from 37 nursing homes. In‐depth qualitative interviews were conducted with 10 participants from August 1 to September 30, 2019. Data were analyzed using multilevel analysis for quantitative study and thematic analysis for qualitative study.Results: The participants’ average age was 48.48 years. Personal factors related to retention intention were Registered Nurses’ role, educational level, and job satisfaction. Institutional factors were ownership, number of beds, and working environment. The qualitative study revealed five themes: “Satisfaction with meaningful relationships,” “Potential for professional growth,” “Nursing service accompanied by emotional labor,” “Poor working environments in nursing homes,” and “Unprotected nursing expertise.”Discussion: A nursing home's work environment is related to the Registered Nurses’ retention intention. Most Registered Nurses in Korea received low wages, lacked access to career management programs, and experienced emotional labor.Conclusion: This study highlighted the personal and institutional factors related to retention intention among Registered Nurses in South Korean nursing homes.Implications for nursing and nursing policy: A law that designates Registered Nurses as an essential nursing home workforce is required. Further, nursing homes should increase the number of Registered Nurses to improve working conditions and thereby job satisfaction. It is also necessary to foster a working environment that facilitates professional development opportunities and job clarity.

Background: An increase in the number of older adults has highlighted the important issue of the safety of residents in nursing homes. This review aimed to review previous studies on patient safety of older adults living in nursing homes, analyze the tools used to measure it, and identify factors affecting patient safety of older adult residents in nursing homes. Methods: A literature search was conducted using EMBASE, PubMed, CINHAL, and COCHRANE. The main search terms were “nursing home” or “skilled nursing facility” or “long-term care facility” and “patient safety.” In total, 13,586 articles were identified. Two authors independently assessed the quality of each selected study using the Crowe Critical Appraisal Tool. Results: Twenty-five studies were included in the analysis. There were a total of seven tools used to measure patient safety in nursing homes: the Nursing Home Survey on Patient Safety Culture (10 studies) and Hospital Survey on Patient Safety Culture (nine studies). Furthermore, the Nursing Home Survey on Patient Safety Culture-China, Safety Attitudes Questionnaire, Safety Attitudes Questionnaire in a Skilled Nursing Facility, Safety Attitudes Questionnaire-Ambulatory Version, and Modified Stanford Patient Safety Culture Survey Instrument were used in one study each. The most used tool among them was the Nursing Home Survey on Patient Safety Culture. Most tools used to measure patient safety in nursing homes were related to patient safety culture and employee attitudes. Conclusion: Organizational factors, such as the staff education system and the composition of appropriate personnel, should be strengthened to establish a patient safety culture in nursing homes, for which policy support is crucial.